Individual provider · Type 1 NPI

Diane Tom

Peer Specialist · Garden Grove, CA

NPI number 1275101768 Active

Practice location

12912 Brookhurst St Ste 480
Garden Grove, CA 92840-4867

Call (714) 636-6286 Map

Specialties and licenses

TaxonomyCodeLicense
Community Health Worker 172V00000XNone listed
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1275101768

Diane Tom's National Provider Identifier is 1275101768, issued on Jun 11, 2021. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Garden Grove, CA. The record was last updated on Mar 31, 2025.